Clinical and paraclinical characteristics of postmenopausal women with infectious vaginitis at Hanoi Obstetrics and Gynecology Hospital

Truong Thi Ha Khuyen, Le Thi Anh Dao, Nguyen Thi Phuong Anh, Tang Van Dung

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Abstract

This study describes the clinical and paraclinical characteristics of postmenopausal women diagnosed with infectious vaginitis at Hanoi Obstetrics and Gynecology Hospital. Among 85 postmenopausal women with abnormal vaginal discharge, 58 cases (68.24%) were confirmed with infectious vaginitis by smear testing. The etiologies included bacterial vaginosis (55.17%), Candida infection (31.03%), and Trichomonas vaginalis infection (5.18%). Symptom patterns varied by etiology: bacterial vaginosis was associated with malodorous discharge (59.4%) and thin gray discharge (87.5%), while Candida vaginitis presented with curd-like white discharge adherent to the vaginal wall (55.6%), vulvovaginal pruritus (83.3%), and vaginal erythema (88.89%). Vaginal smear analysis revealed that 100% of bacterial vaginosis cases had clue cells and a positive sniff test, while all Candida vaginitis cases exhibited yeast spores or pseudohyphae. The findings emphasize the importance of integrating clinical examination and laboratory testing for accurate diagnosis of vaginitis in postmenopausal women.

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References

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